NPIMap

Organization Active NPI

Rubins,Vagianos,Tolmie & Corsig, DDS, PA

  • Periodontics
  • Charlotte, NC
National Provider Identifier
1790859643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0377 Issued in NC
Legal business name
RUBINS,VAGIANOS,TOLMIE & CORSIG, DDS, PA
Practice address
3535 Randolph Rd
Suite 103-R
Charlotte, NC 28211-1032
Phone
(704) 365-0123
Fax
(704) 364-8640
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert P. Rubins, DDS
Title
President
Phone
(704) 365-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 0377 NC Primary

Addresses

Primary practice location

3535 Randolph Rd
Suite 103-R
Charlotte, NC 28211-1032

Mailing address

3535 Randolph Rd
Suite 103-R
Charlotte, NC 28211-1032
Phone (704) 365-0123

Other identifiers 1

IdentifierTypeStateIssuer
8901217MedicaidNC

National Provider Directory

National Provider Directory

Locations

3535 Randolph Rd
Ste 103R
Charlotte, NC 28211
Phone (704) 365-0123

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790859643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD",
            "address_2": "SUITE 103-R",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111032",
            "telephone_number": "704-365-0123",
            "fax_number": "704-364-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD",
            "address_2": "SUITE 103-R",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111032",
            "telephone_number": "704-365-0123",
            "fax_number": "704-364-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBINS,VAGIANOS,TOLMIE & CORSIG, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-365-0123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "0377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901217",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.